Extra Super P Force (Sildenafil / Dapoxetine) — Patient Information for Australia

Extra Super P Force is an oral combination medicine containing two active ingredients: sildenafil and dapoxetine. It is used to help with: erectile dysfunction (ED) and premature ejaculation (PE)—when both occur together.

This page explains how the medicine works, when to take it, how to use it safely, and what to know about side effects and interactions. It is written for people in Australia and uses general medical information to help you understand the product.

Basic product information

• Brand name: Extra Super P Force
• Active ingredients: sildenafil + dapoxetine
• Medicine type: combination of an ED treatment (PDE5 inhibitor) and a PE treatment (SSRI/rapid-acting serotonin modulator)
• Form: tablets (oral)
• Common intended use: ED with or without PE symptoms, particularly where PE is a concern

Note: Different markets and manufacturers may use different strengths per tablet. Always check the pack for the exact amounts of sildenafil and dapoxetine in your specific product.

What are sildenafil and dapoxetine?

Sildenafil is a medicine in the PDE5 inhibitor family. It helps increase blood flow to the penis when you are sexually stimulated. It does not automatically cause an erection; sexual arousal is still required.

Dapoxetine is designed to help reduce the speed of ejaculation and delay ejaculation in men with premature ejaculation. It is typically taken as an on-demand treatment before sex.

Mechanism of action (how it works)

Sildenafil (ED support)

• Sildenafil blocks an enzyme called phosphodiesterase type 5 (PDE5).
• This helps maintain levels of cGMP in penile blood vessels.
• As a result, blood vessels can relax and blood flow to the penis improves during sexual stimulation.
• The medicine supports erection quality but does not override sexual desire or arousal.

Dapoxetine (PE support)

• Dapoxetine affects serotonin pathways by acting as a selective serotonin reuptake inhibitor (SSRI) with rapid onset.
• Serotonin signalling helps influence ejaculatory reflex timing in the brain and spinal cord.
• Taken at the right time before sex, dapoxetine helps you achieve better control and delayed ejaculation.

Typical indications (what Extra Super P Force is used for)

Extra Super P Force is intended for adult men who experience:

• Erectile dysfunction (ED) — difficulty achieving or maintaining an erection sufficient for satisfactory sexual activity
• Premature ejaculation (PE) — ejaculation that occurs sooner than desired, with limited control

In many cases, it is most relevant when both ED and PE occur together.

How to take Extra Super P Force (timing and dosing principles)

The exact dosing schedule depends on your product strength, your medical history, and tolerance. Always follow the directions on the pack and any instructions provided by a qualified healthcare professional. The information below is general.

Typical on-demand timing

• Sildenafil is commonly taken about 30 to 60 minutes before sexual activity.
• Dapoxetine is commonly taken approximately 1 to 3 hours before sex.
• Because the product combines both, a practical approach is often to take the tablet about 1 to 2 hours before planned sexual activity, unless the pack says otherwise.

Sexual stimulation is necessary for sildenafil to work.

How often can it be taken?

• Dapoxetine has specific safety considerations; dosing frequency should not be increased beyond the instructions on the pack.
• If you need ED and PE treatment more frequently, your clinician may consider alternative dosing strategies or different medications.

If you miss a dose: Because it’s used around sexual activity, you typically do not “take later” once the opportunity has passed. Take it only when you plan sexual activity and within pack guidance.

Dosing guidance (general and patient-friendly)

Extra Super P Force tablets are supplied in different strengths. To keep this page safe and accurate for all pack variants, use the table below as a guide to the typical clinical approach rather than a substitute for your pack directions.

Pharmacokinetics (how the body handles the medicines)

Pharmacokinetics (PK) describes absorption, distribution, metabolism, and elimination. The precise numbers can vary by product formulation, but the overall pattern is useful for timing.

Sildenafil — general PK highlights

• Absorption: Sildenafil is absorbed after oral dosing and typically reaches peak effect at roughly 30–120 minutes.
• Duration: Effects may last for several hours, though the strongest effect commonly occurs earlier.
• Metabolism: Primarily metabolised by liver enzymes (notably CYP3A4).
• Elimination: Excreted mainly as metabolites through the body’s normal elimination pathways.

Dapoxetine — general PK highlights

• Absorption: Dapoxetine is absorbed after taking the tablet, with peak activity commonly in the 1–3 hour range.
• Metabolism: Metabolised mainly in the liver.
• Elimination: Removed from the body over time as metabolites.
• On-demand design: Dapoxetine is designed to be taken around sexual activity rather than as continuous daily therapy for PE.

Practical takeaway: Taking the combined tablet at the right time is important for both erection support and PE control. Food and alcohol can affect timing and side effects (see below).

Food interactions (what to eat and what to avoid)

Food—especially fatty meals—can slow absorption of sildenafil and may delay peak effect. For best results:

• Consider taking the tablet with a light meal or when you are not heavily full.
• Avoid large, high-fat meals close to dosing if you want more predictable timing.
• If you notice reduced effectiveness, your healthcare professional may suggest adjusting the timing relative to meals.

Dapoxetine may also be affected by meal timing, but in many people the key variable is whether you are eating a heavy meal.

Alcohol and medicine interactions

Alcohol

• Alcohol can worsen erection quality and can increase the likelihood of dizziness and low blood pressure symptoms.
• It may also reduce ejaculation control, making PE symptoms feel worse.
• If you choose to drink, keep it moderate and avoid binge drinking.

Seek urgent help if you experience fainting, chest pain, severe dizziness, or difficulty breathing.

Medication interactions (important)

The combined product has interaction risks due to both sildenafil and dapoxetine. Some interactions can be dangerous. Discuss your medicines with a pharmacist or clinician before use, especially if you take any of the following:

• Nitrates (e.g., glyceryl trinitrate / nitroglycerin) or medicines containing nitrates used for chest pain: Do not combine. This can cause a significant drop in blood pressure.
• Riociguat (for pulmonary hypertension): Do not combine due to blood pressure risk.
• Alpha-blockers (used for prostate symptoms or high blood pressure): combination may increase dizziness/low BP in some people. Dose timing may need adjustment under medical supervision.
• Strong CYP3A4 inhibitors (affect sildenafil levels), such as some antifungal and antibiotic medicines: may increase sildenafil exposure and side effects.
• Other serotonergic medicines (relevant to dapoxetine/SSRI effects): combining with certain antidepressants or medicines that increase serotonin can raise the risk of serotonin syndrome.
• Other SSRIs/SNRIs/MAOIs or linezolid (an antibiotic with MAOI-like effects): may be risky with dapoxetine depending on timing and medication history.

If you are on any long-term medicines (including “natural” products), check with a healthcare professional. Even some commonly used medications can interact.

Safety profile and possible side effects

Most men tolerate Extra Super P Force well when used as directed, but side effects can occur. Some symptoms suggest low blood pressure or sensitivity to the medicine.

Common side effects

• Headache
• Flushing (warmth/redness of the face)
• Dizziness
• Nasal congestion
• Indigestion or nausea
• Feeling light-headed or tired
• Reduced ejaculation or changes in sexual sensations may occur (particularly relevant to PE control).

Less common but serious risks

• Fainting or severe dizziness (may relate to blood pressure changes and dapoxetine-related safety concerns)
• Chest pain, symptoms of heart problems, or severe shortness of breath
• Priapism (a prolonged painful erection lasting more than 4 hours)
• Severe allergic reaction (swelling, rash, trouble breathing)
• Serotonin syndrome (classically: agitation, confusion, sweating, tremor, fast heartbeat, diarrhoea—especially with other serotonergic medicines)
• Vision changes (e.g., sudden vision loss or severe visual disturbance)

Urgent action: If you develop severe symptoms such as fainting, chest pain, an erection lasting longer than 4 hours, or signs of serotonin syndrome, seek emergency care immediately.

Who should be especially cautious?

Extra Super P Force may not be suitable if you have certain conditions or risk factors. Speak to a pharmacist or clinician if you have:

• Heart disease or unstable cardiovascular symptoms
• Low blood pressure or history of fainting
• Recent stroke
• Severe liver problems
• Epilepsy or seizure history
• Significant depression or history of serious mental health issues (due to dapoxetine-related safety considerations)
• Use of interacting medicines (especially nitrates, certain antidepressants, or serotonergic drugs)

Practical tips for best results

• Plan the timing: take the tablet about 1–2 hours before sex unless your pack instructions specify otherwise.
• Keep alcohol moderate: heavy drinking increases dizziness and can reduce sexual performance.
• Use on a “test” occasion: many people learn what timing works best for them with their typical meal pattern.
• Stay hydrated: dehydration can worsen dizziness and headaches.
• Avoid double-dosing: do not take extra tablets to “catch up.” This can increase side effects.
• Give it sexual stimulation: sildenafil works with arousal; it is not an automatic erection trigger.
• Monitor your response: if you repeatedly get severe side effects or no effect, stop and seek advice.

Alternative options (if this combination isn’t right)

Depending on whether your main issue is ED, PE, or both, options may include:

For erectile dysfunction (ED)

• Sildenafil alone
• Tadalafil (longer duration for some people)
• Other PDE5 inhibitors (availability varies)
• Non-oral options may be considered in some cases (e.g., devices or other therapies under clinician guidance)

For premature ejaculation (PE)

• Dapoxetine alone (where available as a single product)
• Behavioural strategies and techniques
• Psychological and relationship support (often beneficial alongside medication)

When you have both ED and PE

• A combined approach may be used, or separate medicines may be prescribed to tailor timing and dosing more precisely.
• Your healthcare professional may individualise treatment based on your medical history, interactions, and response.

If you’re unsure which type of treatment suits you, consider discussing symptoms and concerns with a pharmacist or clinician.

Market and legal context for Australia (general information)

In Australia, medicines are regulated under national frameworks that include requirements for supply, quality assurance, and safety. Availability online can vary depending on classification, manufacturer approvals, and supplier compliance.

When purchasing, it’s important to choose a reputable supplier that provides:

• Clear product identification and active ingredients
• Batch/expiry information and storage guidance
• Transparent customer support and shipping details
• Accurate information about how the medicine should be used

If you have any uncertainty about whether a product is appropriate for you—or if you have complex medical conditions—seek advice from a healthcare professional.

Recent guidance / important updates (practical note)

Advice around ED and PE medicines can evolve over time as safety data, warnings, and prescribing information are updated. For the most current safety information relevant to your situation, check reputable healthcare sources and consult a pharmacist.

Delivery and availability in Australia

Availability varies by supplier. If you order from an online pharmacy, typical delivery expectations in Australia may include:

• Shipping options: standard and express (depending on region)
• Packaging: discreet and secure delivery
• Processing time: can vary by stock levels and order verification
• Tracking: commonly provided

To reduce delays:

• Ensure your delivery address is correct
• Provide accurate contact details for delivery updates
• Check product expiry on arrival

If you need the medicine urgently for planned activity, allow extra time for shipping and processing.

Storage and handling

• Store tablets at room temperature unless the pack states otherwise.
• Keep out of reach of children.
• Protect from moisture and excessive heat.
• Do not use tablets past the expiry date on the pack.

FAQ — Extra Super P Force (sildenafil / dapoxetine)

1) What is Extra Super P Force used for?

It is used to help with erectile dysfunction and premature ejaculation, particularly when both are issues.

2) How long before sex should I take it?

A practical starting point is usually about 1–2 hours before sexual activity, but follow the pack instructions. Timing matters because sildenafil and dapoxetine reach peak effect at different times.

3) Does it work without sexual stimulation?

No. Sildenafil requires sexual arousal to help achieve an erection. The medicine supports blood flow but does not automatically produce an erection.

4) Can I take it with food?

It can be taken with or without food. However, a large, fatty meal may slow absorption and delay effects. For more predictable timing, choose a light meal or take it when not heavily full.

5) Is it safe to drink alcohol?

Alcohol can increase dizziness and lower blood pressure, and may reduce sexual performance and ejaculation control. Keep alcohol moderate and avoid binge drinking. If you feel faint, do not take another dose.

6) What medicines should I avoid?

Do not use sildenafil/dapoxetine products with nitrates or riociguat. Be cautious with alpha-blockers, strong enzyme inhibitors, and other serotonergic medicines. If you are unsure, ask a pharmacist.

7) What side effects are common?

Common side effects include headache, flushing, dizziness, and nausea/indigestion.

8) What should I do if I get severe side effects?

Seek urgent medical care for severe dizziness or fainting, chest pain, an erection lasting more than 4 hours, signs of severe allergy, or symptoms suggesting serotonin syndrome.

9) How should I store the tablets?

Keep tablets at room temperature, away from moisture and heat, and out of reach of children. Check the expiry date on the pack.

10) If it doesn’t work the first time, what should I do?

Avoid increasing the dose without guidance. Consider whether the timing relative to meals and alcohol was appropriate, then discuss persistent lack of effect with a pharmacist or clinician to adjust treatment safely.

Important: This information is general and not a substitute for personalised medical advice. If you have health conditions or take regular medicines, consult a pharmacist or clinician before using Extra Super P Force.